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Cyclobenzaprine HCl 5%/Ketoprofen 20%/Lidocaine HCl 5% Topical Gel

This formulation is a combination of Cyclobenzaprine HCl 5%, Ketoprofen 20%, and Lidocaine HCl 5% in a topical gel. It is a semisolid formulation dispensed through a pump mechanism, which allows for easy and precise application on the skin. The gel-like consistency ensures targeted treatment or absorption of the active ingredients.

The Cyclobenzaprine HCl acts as a muscle relaxant, reducing muscle spasms and providing relief from associated pain. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces inflammation and pain in the body. Lidocaine HCl is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. This combination is commonly used to treat conditions such as muscle sprains, strains, arthritis, and nerve pain.

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Topical Gel
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Formula Information

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This formulation combines Cyclobenzaprine HCl 5%, Ketoprofen 20%, and Lidocaine HCl 5% in a topical gel. Cyclobenzaprine HCl is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces hormones that cause inflammation and pain in the body. Lidocaine HCl is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. This combination of medications is used to relieve pain and discomfort caused by muscle injuries such as sprains, strains, or spasms.

The gel is a semisolid formulation that is dispensed through a pump mechanism. This allows for easy and precise application on the skin, ensuring targeted treatment or absorption of the active ingredients. The gel-like consistency ensures that the medication stays where it is applied and does not spread to other areas of the body. This is particularly beneficial for patients who need targeted relief from pain and inflammation.

It is important for patients to use this medication as directed by their healthcare provider. The medication should be applied to the affected area no more than 3 to 4 times daily, unless otherwise directed by a healthcare provider. Patients should not apply this medication to broken or irritated skin. Also, this medication should not be used in the eyes, mouth, or vagina. If the medication gets in these areas, rinse with plenty of water.

Patients should also be aware of potential side effects, which may include redness, swelling, or irritation at the application site. If these side effects persist or worsen, patients should contact their healthcare provider immediately. Serious side effects are rare, but patients should seek immediate medical attention if they experience severe dizziness, slow/shallow breathing, or a fast/irregular heartbeat.

Prescribers should consider the patient's overall health status, other medications being taken, and the specific condition being treated when prescribing this medication. This medication may interact with other drugs, so prescribers should review the patient's medication list to avoid potential interactions. Additionally, prescribers should educate patients on the proper use of this medication to ensure its effectiveness and safety.

If you have any questions about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our knowledgeable team of compounding pharmacists is here to assist you.

Drug Interactions

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The formulation of Cyclobenzaprine HCl 5%/Ketoprofen 20%/Lidocaine HCl 5% Topical Gel may interact with other medications, potentially altering their effects or increasing the risk of adverse reactions. It is crucial for patients and prescribers to be aware of these potential interactions to ensure safe and effective use of this medication.

Cyclobenzaprine, a muscle relaxant, may interact with monoamine oxidase inhibitors (MAOIs), increasing the risk of serious side effects such as hypertensive crisis. It may also interact with other central nervous system depressants, including alcohol, benzodiazepines, and opioids, potentially leading to increased sedation and respiratory depression. Patients should inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs and supplements, to avoid potential interactions.

Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), may interact with anticoagulants, antiplatelet drugs, and other NSAIDs, increasing the risk of bleeding. It may also interact with angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARBs), or diuretics, potentially reducing their effectiveness and increasing the risk of kidney damage. Concurrent use with lithium or methotrexate may increase the levels of these drugs, leading to toxicity.

Lidocaine, a local anesthetic, may interact with other local anesthetics or medications with similar mechanisms of action, potentially leading to additive systemic toxicity. It may also interact with antiarrhythmic drugs, potentially altering their effects.

This formulation is intended for topical use and is designed to provide targeted treatment for conditions such as muscle pain, inflammation, and localized nerve pain. Cyclobenzaprine relaxes muscle spasms, ketoprofen reduces inflammation and pain, and lidocaine numbs the specific area, providing relief. However, it is important to note that while this medication can help manage symptoms, it does not cure the underlying conditions.

Patients should use this medication as directed by their healthcare provider and should not apply more than the recommended dose. They should also avoid applying this medication to broken or irritated skin or mucous membranes. If any adverse reactions occur, such as severe skin irritation, unusual drowsiness, or changes in heart rhythm, patients should seek medical attention immediately.

If you have any questions about this formulation or its potential interactions, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you.

How Does it Work

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This formulation combines three active ingredients: Cyclobenzaprine HCl, Ketoprofen, and Lidocaine HCl, each with a unique mechanism of action to provide relief from pain and inflammation. The gel is designed to be applied topically, directly to the area of discomfort, allowing for targeted treatment and absorption of the active ingredients.

Cyclobenzaprine HCl is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. It is particularly effective in treating muscle spasms and associated pain. When applied topically, it can provide localized relief without the systemic side effects often associated with oral administration.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing hormones that cause inflammation and pain in the body. It is commonly used to reduce pain, swelling, and joint stiffness caused by arthritis, bursitis, and gout attacks. When applied topically, Ketoprofen can directly target the area of inflammation, providing relief without the gastrointestinal side effects often associated with oral NSAIDs.

Lidocaine HCl is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. It does this by blocking the voltage-gated sodium channels in the nerve endings, which in turn prevents the generation and conduction of nerve impulses. This provides immediate, localized pain relief.

The gel formulation allows for easy and precise application of these active ingredients directly to the area of discomfort. The semisolid consistency of the gel ensures that it stays in place, providing prolonged contact time with the skin for optimal absorption. The pump mechanism allows for controlled dispensing, reducing the risk of over-application and potential side effects.

This formulation is particularly useful in treating conditions such as arthritis, bursitis, gout attacks, and muscle spasms where localized pain and inflammation are present. By combining a muscle relaxant, an anti-inflammatory, and a local anesthetic, this formulation provides a comprehensive approach to pain management, addressing both the symptoms and the underlying causes of pain.

If you have any questions about this formulation, its use, or how it may benefit you, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.

Other Uses

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Cyclobenzaprine HCl 5%/Ketoprofen 20%/Lidocaine HCl 5% Topical Gel is a potent analgesic and anti-inflammatory formulation that is primarily used for localized pain relief, muscle relaxation, and inflammation reduction in conditions such as arthritis, musculoskeletal disorders, or neuropathic pain. However, amid its widespread application, this topical formulation has found usage in other disease states and conditions as well.

Given the presence of Cyclobenzaprine, a muscle relaxant, this compound could be used off-label to alleviate muscle spasms associated with conditions non-specific to the musculoskeletal system. It could assist in alleviating discomfort arising from spasmodic dysphonia, a neurological disorder causing voice spasms, or conditions like dystonia causing involuntary muscle contractions.

Additionally, with Lidocaine's numbing effect, the gel could be used in minor surgical procedures requiring localized anesthesia or in refractory pruritus that causes persistent and severe itching. With Ketoprofen's potent anti-inflammatory action, it can potentially be useful in skin disorders characterized by inflammation, such as psoriasis or eczema, providing symptomatic relief.

The prepared gel can also find use in sports medicine, helping to handle musculoskeletal injuries, sprains, strains, or bruises, experienced by athletes. Furthermore, it could be used in palliative care settings to manage chronic pain conditions resistant to other pain management strategies. However, utilizing this formulation for any non-standard indications should always be under the supervision and advice of a healthcare professional.

Please take note that all individuals have unique physiological characteristics, therefore the gel's effectiveness in these conditions may vary from patient to patient. Patients with a history of hypersensitivity to any of the components in this formulation should avoid its use.

The dosage, frequency of application, and the duration of therapy should be individualized according to patient response and the severity of symptoms. Always apply the medication as directed by a healthcare provider and ensure you understand all instructions clearly before use.

If you have any further questions or concerns regarding this formulation or its potential uses, please don't hesitate to reach out to us at Bayview Pharmacy; our team of knowledgeable compounding pharmacists will be more than ready to assist you.

Frequently Asked Questions

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What is the compounded formulation of Cyclobenzaprine HCl 5%/Ketoprofen 20%/Lidocaine HCl 5% Topical Gel?

It is a gel-like formulation that contains 5% Cyclobenzaprine HCl, 20% Ketoprofen and 5% Lidocaine HCl, ingredients that help in relieving muscle and joint pain. The formulation is dispensed through a pump mechanism for easy and precise application.

How do I use this medication?

You apply it to your skin directly on the affected area. Please follow the prescribed dosage by your healthcare practitioner. Do not use more or less than recommended.

Can I use this medication on any part of my body?

This medication is for topical use only and should be applied to the area specified by your healthcare provider. Avoid contact with eyes, mouth, nose or other sensitive areas.

What should I do if the medication gets into my eyes?

If the medication accidentally gets into your eyes, rinse immediately with plenty of water and seek medical advice.

How does the pump mechanism work?

The pump dispenses a measured amount of gel ensuring precise dose. Simply press down on the pump to extract the medication.

Who can use this compound medication?

This medication may be prescribed by a healthcare provider for patients that need relief from muscle and joint pain. Always use under the guidance of a medical professional.

What if the medication does not relieve my symptoms?

If your symptoms do not improve or if they worsen, consult with your healthcare provider or pharmacist as soon as possible.

Can I use this medication if I am pregnant or breastfeeding?

Before using this medication while pregnant or breastfeeding, always consult with your healthcare provider to understand any potential risks.

Should I cover the treated area after application of the medication?

Do not cover, bandage, or wrap the treated area unless directed by your healthcare provider.

Can I use other topical medications while using this compounded formulation?

Unless advised by a healthcare provider, avoid using other topical medications on the treated areas as it may alter the effectiveness of the medications.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.